RE: Bedfast resident??

[Patricia Whitcomb]

Title: Message

I guess I would have staff actually document her activity for a week.  I would specifically doc. the amount of time sitting in her w/c & the actual time she spends ambulating to the bathroom.  That would demonstrate that she was actually not in bed or recliner for more than 2 hours or show that she is for 22 hours, which would then make her bedfast.  If she's not, you can use the doc. to demonstrate to state why you did not consider her bedfast.     Pat Whitcomb, RN MDS Coordinator Madonna Towers 507-288-3911, Ext. 3050 -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of CAROLYN ORTTEL Sent: Thursday, April 15, 2004 1:58 PM To: [EMAIL PROTECTED] Subject: Re: Bedfast resident?? I just came from a training session where we addressed the fact that bedfast 22 or more hours/24 hours in bed >>> [EMAIL PROTECTED] 04/15/04 01:54PM >>> Ok Guys,   This is what I was tagged on.   Let's hash this one out.  Need lots of input on this one.   Resident:  A&O X3.                Cont. of B&B.                Ambulates to and from the toilet several times throughout the day.  Staff reports it takes aprox 15 for her to ambulate to and from each time.                 She occasionally ambulates in the hall.  To the hairdresser 2-3 times a month and when she feels like it.  Staff reports that she will let you know when she wants to walk.                She prefers to stay in her room and in bed a lot of the time.  When up she is usually in the w/c or recliner.                She does not attend activities outside of her room.  Receives lots of mail.                 She is no longer on a restorative ambulation program because she walks when she wants and only when she wants.  She only needs assist of 1 when ambulating.                She has areas on her spine, which is curved, that open and heal and open and heal, from not wanting to turn from side to side.   State says she should have been coded as bedfast.  I do not agree.   Heeeeeeellllllllllllllpppppppp!!!!!!!!!!!!!!   Michelle E. Tax headache? MSN Money provides relief with tax tips, tools, IRS forms and more! /---------------------------------------------------------- The Case Mix Discussion Group is a free service of the American Association of Nurse Assessment Coordinators "Committed to the Assessment Professional" Be sure to visit the AANAC website. Accurate answers to your questions posted to NAC News and FAQs. For more info visit us at http://www.aanac.org -----------------------------------------------------------/     The information transmitted in this e-mail is intended only for the person or entity to which it is addressed and may contain confidential and/or privileged material, including “protected health information.”  If you are not the intended recipient, you are hereby notified that any review, retransmission, dissemination, distribution, or copying of this message is strictly prohibited.  If you have received this communication in error, please destroy and delete this message from any computer and contact us immediately by return e-mail. <<<<P.H.I.>>>>   This e-mail communication and any attachments may contain confidential and privileged information for the use of the designated recipients named above. If you are not the intended recipient, you are hereby notified that you have received this communication in error and that any review, disclosure, dissemination, distribution or copying of it or its contents is prohibited. As required by HIPAA you need to hold this information as privileged and confidential. If you have received this communication in error, please destroy all copies of this communication and any attachments.

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